Individual
MS. CASEY MICHELE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., ED
Contact information
Practice address
260 W 52ND ST, 25F, NEW YORK, NY 10019-5850
(516) 647-6028
Mailing address
260 W 52ND ST, 25F, NEW YORK, NY 10019-5850
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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